Virtudes Pérez-Jover

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Verified

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• Ph.D.
• Professor (Full) at Miguel Hernández University of Elche

Introduction Overuse of medical services is a challenge worldwide, posing a threat to the quality of care, patient safety and the sustainability of healthcare systems. Some data suggest that females receive more low-value practices (LVPs)—defined as medical interventions that provide little or no benefit to patients and can even cause harm—than mal...

Objectives: This study aimed to evaluate gender-based disparities in preventable adverse events due to low-value practices (LVPs) in primary care. Methods: A retrospective cohort study in Alicante, Spain. Results: A total of 1,516 patient records were examined, finding that older individuals and women experienced more LVP-related events. Female pat...

Background Data on overuse of diagnostic and therapeutic resources underline their contribution to the decline in healthcare quality. The application of “Do Not Do” recommendations, in interaction with gender biases in primary care, remains to be fully understood. Therefore, this study aims to identify which low-value practices (LVPs) causing adver...

Introduction Gender bias in healthcare is understood as a misconception of the differences between males and females that may generate healthcare disparities and discrimination against one sex. However, is not well known how this implicit bias is manifested in pediatric clinical praxis. Thus, the goal of this study is to explore and analyse the att...

Objective The misuse of prescription psychotropic drugs is a major health problem. One of the most exposed groups to the use of these substances is people with a severe mental illness. The aim of this review is to assess the prevalence and risk factors of problematic use of psychoactive prescription drugs in patients with SMI. Method A systematic...

Background: Despite the availability of treatment options, the percentage of individuals with gambling problems seeking help remains low. To reach a broader population of those affected by disordered gambling, online or self-guided interventions have been developed, with personalized normative feedback (PNF) being one of the most widely used strate...

Introducción: Los individuos con trastornos mentales en España acuden una media de 15,1 visitas a los centros de Atención Primaria al año. La Guía del Instituto Nacional de Excelencia en Salud y Atención indica que el tratamiento psicológico es el recomendado para aquellos trastornos más presentes en Atención Primaria como son los trastornos de ans...

Background Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulti...

Justification: Providing care to patients with several conditions and simultaneously taking several medications at home is inexorably growing in developed countries. This trend increases the chances of home caregivers experiencing diverse errors related with medication or care. Objective: To determine the effectiveness of four different educatio...

Purpose This study aimed to identify the perceptions and attitudes of pediatricians and parents/caregivers regarding medication errors at home, and to compare the findings from the two populations. Methods This was a cross-sectional survey study. We designed a survey for working pediatricians and another one for parents or caregivers of children a...

Introduction: Evidence shows that gender has a substantial impact on health behaviours, access to and use of health systems and health system responses. This study aims to assess gender bias in patients subjected to low-value practices in the primary care setting and to develop recommendations for reducing adverse events that women experience for...

Depression is a common mental health issue that affects 280 million people in the world with a high mortality rate, as well as being a leading cause of disability. Psychopharmacological therapies with psychedelics, particularly those with psilocybin, are showing promising potential for the treatment of depression, among other conditions. Some of th...

Sexuality is a component of great relevance in humans. Sexual disorders are a major public health problem representing a high prevalence in the general population. DSM-5 genito-pelvic pain/penetration disorder (GPPPD) includes dyspareunia and vaginismus (DSM-IV-TR). To assess the importance of research on these disorders in Spain, we evaluated the...

Abstract: Published evidence on the progress of occupational therapy research from a broad perspective is limited. The purpose of this study was to analyze the international research productivity on occupational therapy from 1917 to 2020. This was a bibliometric study including articles indexed on MEDLINE, Scopus, and CINAHL. The literature search...

Objectives: To describe lessons learned during the first COVID-19 outbreak in developing urgent interventions to strengthen healthcare workers’ capacity to cope with acute stress caused by health care pressure, concern about becoming infected, despair of witnessing patients’ suffering, and critical decision-making requirements of the SARS-CoV-2 pan...

Anal fissures (AFs) are lesions located in the lower anal canal. They can be primary (chronic or acute) or secondary to a basic disease. There is high comorbidity of depression and anxiety in patients with chronic AF, with poorer quality of life (QoL) and sexual function. This is a case–control study carried out in the San Juan Hospital (Alicante,...

Instruments for the measurement of human sexuality include self-report measures used to assess sexual functioning, but many of them have not yet been validated. The Center of Applied Psychology Female Sexual Questionnaire (CAPFS-Q) is an original self-report instrument. It has been developed for the study of sexuality in specific non-clinical popul...

Caregiving has been associated with increased levels of fear and post-traumatic stress symptoms (PTSS) during COVID-19 pandemic. However, there is a lack of studies that analyze when the relationship between fear and PTSS occur, using informal caregiving as a moderator variable. To explore this moderating role, we conducted a cross-sectional online...

Background: The COVID-19 pandemic has affected the response capacity of the health care workforce, and health care professionals have been experiencing acute stress reactions since the beginning of the pandemic. In Spain, the first wave was particularly severe among the population and health care professionals, many of whom were infected. These pro...

(1) Background: The physical and psychological consequences suffered by informal caregivers have been extensively studied. MHealth solutions appear to be an opportunity to help overcome the caregiver burden. The objective of this study was to evaluate available mobile applications for informal caregivers of people who are ill and to determine wheth...

Objectives To determine the volume of health professionals who suffered distress due to their care of patients with COVID-19 and to analyse the direction in which the response capacity of the professionals to face future waves of COVID-19 is evolving. Design A cross-sectional study. Setting Primary care and hospitals in Spain. Participants A non...

Background: COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, healthcare workers and other involved staff are subjected to extraordinary workload and high emotional distress. Objective: The objective of this study was to develop a digital tool to provide support re...

The growth of the aging population leads to the increase of chronic diseases, of the burden of multimorbility, and of the complexity polypharmacy. The prevalence of medication errors rises in patients with polypharmacy in primary care, and this is a major concern to healthcare systems. This study reviews the published literature on the inappropriat...

Objective : To describe patient satisfaction with pre-hospital emergency knowledge and determine if patients and professionals share a common vision on the satisfaction predictors.Methods:A qualitative study was conducted in two phases. First, a systematic review following the PRISMA protocol was carried out searching publications between January 2...

Purpose To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. Data sources Review studies published between 2000 and 2015, institu...

Background: The reputation of the health centers is associated with: greater user preference in obtaining their services, better clinical outcomes and higher care quality and potential for attracting talented professionals. Reputation was evalu-ated using indexes and scales. The aim of this study is to analyze the attributes that should be gathere...

Fundamento: La reputación de los centros sanitarios se relaciona con: mayor predilección de los usuarios por obtener sus servicios, mejores resultados clínicos y mayor calidad asistencial y potencial para atraer a profesionales con talento. La reputación se ha evaluado mediante índices y escalas. El objetivo de este estudio es analizar los atributo...

The aging population and the growing use of technology are two realities of modern society. Developing tools to support medication self-management to polymedicated elderly may contribute to increase their safety.

Introduction: Medication errors have been analyzed as a health professionals' responsibility (due to mistakes in prescription, preparation or dispensing). However, sometimes, patients themselves (or their caregivers) make mistakes in the administration of the medication. The epidemiology of patient medication errors (PEs) has been scarcely reviewe...

This research was designed to analyze whether patients rate positively doctors’ attitudes and information provided favours the patient’s participation and involvement in clinical decisions. For this, we carry out a cross-sectional analysis of data on 1070 patients discharged from 7 hospitals in Spain. A total of 82% referred to be satisfied with th...

Objective: To determine whether elderly patients with complex drug regimens have enough information to ensure safe drug use. Methods: A cross-sectional study was conducted in Spain based on interviews of a random sample of 265 patients aged over 65 and taking at least five drugs for multiple comorbidities. General practitioners reported on diagn...

Objective: To analyse information about the errors made by diabetic and renal patients based on information provided by professionals (general practitioners, specialists, and nurses) and the patients themselves. Subjects and methods: A descriptive study was carried out by interviewing 199 patients and 60 professionals from the Spanish provinces...

Objective To design and validate a scale (CSR-Hospital-SP) to determine health professionals’ views on the approach of management to corporate social responsibility (CSR) in their hospital. Methods The literature was reviewed to identify the main CSR scales and select the dimensions to be evaluated. The initial version of the scale consisted of 25...

To prepare a set of quality and safety indicators for Hospitals of the «Agencia Valenciana de Salud». The qualitative technique Metaplan® was applied in order to gather proposals on sustainability and nursing. The catalogue of the «Spanish Society of Quality in Healthcare» was adopted as a starting point for clinical indicators. Using the Delphi te...

Objectives: The prudent use of antibiotics (PUA) is promoted not only by public information campaigns, but also in the printed media and on websites. This study assesses the correspondence between PUA information in the Spanish printed media and on websites and the messages put out by national campaigns. Spaniards' use of antibiotics following the...

OBJECTIVE: To design and validate a scale (CSR-Hospital-SP) to determine health professionals' views on the approach of management to corporate social responsibility (CSR) in their hospital. METHODS: The literature was reviewed to identify the main CSR scales and select the dimensions to be evaluated. The initial version of the scale consisted of 2...

Objectives To prepare a set of quality and safety indicators for Hospitals of the «Agencia Valenciana de Salud». Material and methods The qualitative technique Metaplan® was applied in order to gather proposals on sustainability and nursing. The catalogue of the «Spanish Society of Quality in Healthcare» was adopted as a starting point for clinica...

Objective: To establish consensus regarding the recommendations to palliate the effects of adverse events (AEs) in the second victims. Methods: A qualitative study was made to establish expert recommendations referred to: emotional support for second victims, legal counseling, and management of institutional communication when an adverse event occu...

El incremento en el uso de las Nuevas Tecnologías en las relaciones sociales podría estar creando un nuevo paradigma en las habilidades sociales. Se necesitan instrumentos válidos y fiables para evaluar estos cambios. El objetivo de este estudio es analizar las propiedades psicométricas de la Escala Multidimensional de Expresión Social (EMES) en la...

Objective: To analyze the extent to which Spanish leaflets and drug information on the Net met quality criteria. Research design and methods: A descriptive study was conducted comparing readability (REA) and comprehensibility (COM) criteria of a random sample of 77 marketed products of the 12 active ingredients most frequently sold in 2010 in Sp...

Background. To determine recommended delays for treatment once there is well-founded clinical suspicion in care processes for breast and colorectal cancer, taking into account resources and the psychological well-being of the patients. Method. A qualitative study among professionals. The study was conducted in two phases. Firstly, during 4 sessions...

Objective: To assess stakeholders' perceptions (i.e. patients, relatives, the public, and professionals) about results of the Valencian Community Cancer Plan (POCV). Methods: Qualitative analysis (34 participants in 2 interview groups, and 37 participants in 4 focus groups) and quantitative analysis (470 opinion surveys) was combined in a descri...

Background: To determine recommended delays for treatment once there is well-founded clinical suspicion in care processes for breast and colorectal cancer, taking into account resources and the psychological well-being of the patients. Method: A qualitative study among professionals. The study was conducted in two phases. Firstly, during 4 sessi...

Background: There are doubts on whether patients feel that they have sufficient information for actively participating in clinical decisions. Objective: To describe the type of information that patients receive. To determine whether patients consider this information sufficient, and whether it contributes or not to improve clinical safety. To id...

Objective: To analyse the frequency of mistakes in communication between the physician and the patient and their incidence in errors in self-administered drugs. Methods: We undertook a descriptive, cross-sectional study based on interviews with a random sample of patients older than 65 years who were polymedicated (five or more drugs) and had mu...

In 2002, Spain introduced new legislation regulating the rights of patients. Spaniards have thus seen an increase in their capacity for decision-making, bringing them into line with many other countries. However, the law changes do not mean to be acquainted with the new legislation and therefore, putting it into practice. To analyse whether the rul...

Background. Diabetes and kidney disease are risk factors for adverse events (AE). There are no other studies on the perception of risk in these patients. This study analyzes the frequency of adverse event triggers reported by diabetic and renal patients and their perception of the risk. Material and methods. Descriptive study based on interviews wi...

To analyse the frequency of use, effectiveness and usability of automated systems for obtaining appointments in primary care from a user point of view. A cross-sectional study was conducted using a telephone survey of a random sample of 6193 patients (or parents or guardians of paediatric patients) treated in primary care in the Valencian Autonomou...

The increase in the use of New Technologies in social relationships could be generating a new paradigm in social skills. Valid and reliable instruments to assess these changes are needed. The aim of this study is to analyze the psychometric properties of the Multidimensional Scale of Social Expression (EMES) in the assessment of social skills on th...

Diabetes and kidney disease are risk factors for adverse events (AE). There are no other studies on the perception of risk in these patients. This study analyzes the frequency of adverse event triggers reported by diabetic and renal patients and their perception of the risk. Descriptive study based on interviews with randomly selected patients. Fie...

The European Higher Education Area (EHEA) requires changes in the way universities are managed. It is an opportunity for correcting imbalances whilst at the same time being a challenge that can mark important differences between universities. This study seeks to identify the challenges and information/training requirements of Spanish university man...

La evidencia empírica ha puesto de manifiesto la relación entre el consumo excesivo de alcohol y el empeoramiento de determinadas funciones cognitivas. El objetivo de este estudio ha sido analizar la influencia del consumo abusivo de alcohol en el rendimiento cognitivo a través de un seguimiento de adolescentes consumidores. Se han utilizado varios...

Objective The Patient Autonomy Act should contribute to a “patient-centred” health care. The study objectives were to determine to what extent patients believe that their basic rights under the LAP (best practices) are being met. Secondly, to study the relationship between this performance and reported patient satisfaction levels.

To analyse the frequency of adverse events to treatment reported by patients in relation to consultation time, attention from their usual doctor and information provided by their doctor about treatment. Descriptive study. Patients were invited to respond to a telephone survey. 21 Primary Care health centres in Spain. 15,282 patients attended by GPs...

Background: Articles on e-health and e-patients have been increased exponentially.Results: Frequently asked questions (FAQs) are presented on how the Internet affects relationships between doctors and patients, along with the answers based on the results of empirical studies.Conclusions: An even higher use of the Internet is envisaged as a source o...

Objective: To analyze how news items about clinical errors are treated by the press in Spain and their influence on patients. Methods: We performed a quantitative and qualitative study. Firstly, news items published between April and November 2007 in six newspapers were analyzed. Secondly, 829 patients from five hospitals in four autonomous regi...

To analyze how news items about clinical errors are treated by the press in Spain and their influence on patients. We performed a quantitative and qualitative study. Firstly, news items published between April and November 2007 in six newspapers were analyzed. Secondly, 829 patients from five hospitals in four autonomous regions were surveyed. We a...

Articles on e-health and e-patients have been increased exponentially. Frequently asked questions (FAQs) are presented on how the Internet affects relationships between doctors and patients, along with the answers based on the results of empirical studies. An even higher use of the Internet is envisaged as a source of health information. The Intern...

We sought to evaluate the satisfaction of surgical patients in order to identify predictors of patient satisfaction, using a cross-sectional surgery patients' survey in 24 public hospitals in Spain and a total of 15,539 inpatients and 7,899 outpatients. Seventy-seven percent of inpatients and 88.3% of outpatients were satisfied (chi(2) = 509.31; P...

To analyse whether websites in Spanish are an adequate medium to be self-informed considering the surfing styles of Internet users. In a real context 225 subjects searched for information on the Net to answer a series of questions on two diseases and one therapeutic technique. Also, they informed their habits when using Internet. Slightly more than...

Objective To analyze what health professionals, health managers, and the leaders of patient associations understand by “humanization”.

IntroductionTo identify the most important advantages of and obstacles against the right to a second opinion, as well as the most effective new proposals for establishing this right.

The objectives were to assess the quality of websites in Spanish public hospitals by means of a validated system, also including measures of readability and accessibility. A scale was designed and validated to assess the quality (citizen-orientated) of the websites of hospitals. The quality of the of public hospital websites was evaluated by means...

Objective To determine which are the most valued characteristics for Internet sanitary web pages users.

Background We performed a study within the framework of the Barcelona Declaration.

Background: We performed a study within the framework of the Barcelona Declaration. Objectives: To achieve agreement among professionals involved in patient services with the aim of improving communication with patients and guaranteeing respect for their values. Material and method: A Delphi study was performed during the VI Symposium of the Spanis...

Objective To describe the main qualitative research techniques through systematic review of Spanish studies published during the previous 5 years Design Systematic review Data sources The Índice Médico Español (bibliographic database of items published in Spanish health sciences journals) was searched, and systematic searches of the journals Aten...

Objective To describe the characteristics of users of the Emergency Department (ED) of the Elda Hospital in Alicante (Spain).Material and methodWe performed a descriptive study of sociodemographic variables and factors related to ED care. Data were obtained from systematically selected users attending the ED of the Elda General Hospital.ResultsMore...

Objective: To describe the characteristics of users of the Emergency Department (ED) of the Elda Hospital in Alicante (Spain). Material and method: We performed a descriptive study of sociodemographic variables and factors related to ED care. Data were obtained from systematically selected users attending the ED of the Elda General Hospital. Result...

To describe the main qualitative research techniques through systematic review of Spanish studies published during the previous 5 years. Systematic review. The Indice Médico Español (bibliographic database of items published in Spanish health sciences journals) was searched, and systematic searches of the journals Atención Primaria, Gaceta Sanitari...

Objective: To determine if pain treatment outcome such as assessed by patients is related to patient information, and patient satisfaction outcomes. Method: Fourteen thousand seven hundred and fifty-two patients admitted in public hospitals in Spain were surveyed when discharged. Patients were admitted to surgery, medicine, or obstetric wards. Syst...

Objective: To analyse specialised doctors' opinions, attitudes and habits with respect to e-health, specifically in order to identify repercussions on doctor-patient relations. Method: Nine hundred and one doctors from eight Spanish hospitals were surveyed. Advantages and disadvantages of e-health were explored by means of 19-questions. Hospitals w...

Objective: Monitoring the frequency of good practices of patient information in a paediatric setting. Method: A descriptive study based on a survey was conducted in public hospitals of the Valencian Autonomous Community. Nine hundred and seventy five parents were surveyed (error estimated of ± 0.50 for a 95% confidence interval). Fifty-seven percen...

Determinar cuál es la mejor forma de informar a un paciente para que elija responsablemente el centro y el servicio sanitario, e identificar los principales factores que actuarían como motivadores de esta decisión.

To identify the best way to inform patients about centers and services so that they can make a responsible choice, and to identify which factors determine patients' decisions. Data on three illnesses (breast cancer, benign prostatic hypertrophy, and cataracts) in three fictitious hospitals were shown to patients. The data were presented to 1,259 su...